Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.7315
John Patrick R Lentejas, Mark Anthony S Sandoval, Teresita Joy Ples Evangelista, Myrna D Buenaluz-Sedurante, Clarissa L Velayo
{"title":"The Effect of Resistance, Aerobic, and Concurrent Aerobic and Resistance Exercises on Inflammatory Markers of Metabolically Healthy Overweight or Obese Adults: A Systematic Review and Meta-analysis.","authors":"John Patrick R Lentejas, Mark Anthony S Sandoval, Teresita Joy Ples Evangelista, Myrna D Buenaluz-Sedurante, Clarissa L Velayo","doi":"10.47895/amp.vi0.7315","DOIUrl":"https://doi.org/10.47895/amp.vi0.7315","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the effectiveness of different exercise interventions on improving adiposity-related inflammatory markers of metabolically healthy obese (MHO) adults.</p><p><strong>Methods: </strong>This is a systematic review with meta-analysis of randomized controlled trials (RCTs) and quasi-experimental studies on the effects of exercise interventions in the inflammatory markers of sedentary adults with MHO phenotype. Systematic searches were performed in PubMed, Cochrane, CINAHL, and OVID from January 2021 to January 2022. The included studies were from 2000 to 2021. The inclusion criteria included: a) adults with obese phenotype, b) has physical activity or exercise as intervention, and c) inflammatory markers as outcome measure. Exclusion criteria included: a) pregnant women, b) adults with cardiovascular conditions or taking medications, c) participants having central obesity. The review was registered on PROSPERO (CRD42021249661). Risk of bias (RoB) assessment was performed using Revised Cochrane RoB tool for RCTs, and ROBINS-I tool for quasi-experimental studies. A meta-analysis was performed for inflammatory markers and body composition measurements using random effects model with forest plots presenting mean differences (MD) of outcome measures with 95% CI.</p><p><strong>Results: </strong>Twenty-one RCTs and seven quasi-experimental studies with 1,117 participants were included in the review. For short-term intervention, aerobic exercises showed an increased trend in IL-6 levels, and both resistance and aerobic exercises reduced TNF-alpha and CRP levels, respectively. For long-term exercises, aerobic exercises showed a significant reduction in CRP (MD= -0.33, 95%CI, -0.57 to -0.09, p=0.006). Long-term concurrent training also showed a significant reduction in TNF-alpha (MD= -2.65, 95%CI, -4.13 to -1.18; p=0.0004). Meta-regression also found no direct association between body weight and fat mass, and changes in inflammatory markers.</p><p><strong>Conclusion: </strong>Concurrent and aerobic exercises were both effective in reducing pro-inflammatory markers. Concurrent training was more effective in reducing BMI, body fat composition, and CRP compared to aerobic and resistance exercises. Furthermore, middle-aged women benefited from aerobic exercises to reduce IL-6 levels. These results indicate the need for both resistance and aerobic exercise in improving inflammatory levels of the body. This review has limitations in terms of degree of heterogeneity brought by different exercise protocol and assessment of inflammatory markers. More research is needed to identify possible outcome measures that can predict chronic inflammation in MHO people.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"90-105"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.8335
Frances Lois U Ngo, Camille Francesca T Cadag, Jan Redmond V Ordoñez
{"title":"Students' Perceived Counseling Behavior and Feedback on a University-led Patient Medication Counseling Program Implemented in a Tertiary Government Hospital.","authors":"Frances Lois U Ngo, Camille Francesca T Cadag, Jan Redmond V Ordoñez","doi":"10.47895/amp.vi0.8335","DOIUrl":"https://doi.org/10.47895/amp.vi0.8335","url":null,"abstract":"<p><strong>Background and objectives: </strong>Pharmacists are in a unique position to provide important medication information, prevent errors, and help improve patient outcomes. Patient medication counseling (PMC) is integral in medication therapy management of pharmacists. Students perceive PMC as an important step in ensuring the most appropriate pharmacotherapy for the patients and as an essential component of drug management. The objective of the study is to describe the students' perceptions on a university-led patient medication counseling program implemented in a patient medication counseling course.</p><p><strong>Methods: </strong>The study employs a qualitative study design with a total population sampling of forty-two (42) Clin Pharm 176 BS Pharmacy students in a College of Pharmacy. A self-evaluation adapted from the United States Pharmacopeia medication counseling behavior guidelines (USP-MCBG) scale was performed which has with four components: needs assessment, precautions and warnings, management of the treatment, and communication. A synthesis session was conducted utilizing a semi-structured questionnaire. The data was analyzed using measures of central tendency and thematic analysis.</p><p><strong>Results: </strong>Forty-two (42) students answered the USP-MCBG scale and participated in the synthesis session. Participants rated highest in communication (88.81 ± 8.78) and lowest in treatment management (79.49 ± 12.90) which suggests that the students were better equipped in displaying effective nonverbal behaviors and using appropriate language but were least confident in developing and managing treatment plans. There were five main domains on how the students evaluated the course and the PMC program which include pre-counseling session requirements, challenges in patient interaction, interprofessional collaboration, professional outlook, and program recommendations.</p><p><strong>Conclusion: </strong>A university-led PMC program is effective in providing training for student pharmacists to identify and provide recommendations on medication therapy problems, and to practice interprofessional collaboration. It is recommended to continue the student training in the PMC program and to integrate this in the student internship program to evaluate the skills development of students during their clinical rotations.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"30-39"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.8542
Eduardo R Bautista, Pocholo Carlo R Bernardo, Adrian E Manapat, Leoncio L Kaw, Alduz Inri S Cabasa
{"title":"Factors Affecting Outcomes of Percutaneous Transluminal Angioplasty for Central Vein Occlusive Disease in the University of the Philippines-Philippine General Hospital: A 10-Year Experience.","authors":"Eduardo R Bautista, Pocholo Carlo R Bernardo, Adrian E Manapat, Leoncio L Kaw, Alduz Inri S Cabasa","doi":"10.47895/amp.vi0.8542","DOIUrl":"https://doi.org/10.47895/amp.vi0.8542","url":null,"abstract":"<p><strong>Objective: </strong>To describe the treatment outcomes of patients who underwent Percutaneous Transluminal Angioplasty (PTA) for Central Vein Occlusive Disease (CVOD) in end-stage kidney disease and determine the association between patient profile and treatment outcomes.</p><p><strong>Methods: </strong>A single-institution, retrospective review of patients aged 18 and above with end-stage kidney disease who underwent PTA for CVOD in the University of the Philippines - Philippine General Hospital (UP-PGH) from January 1, 2013, to December 31, 2022, was performed. These patients' demographic and clinical profiles were evaluated using means, frequencies, and percentages. The relationship between patient profile and success of PTA was assessed using Chi-square and Mann-Whitney U tests.</p><p><strong>Results: </strong>One hundred one patients were included in the study. Eighty-two had a first intervention, and 19 had a recurrent first intervention. The mean age was 49.8 years, with forty-six (45.5%) males and fifty-five (54.5%) females. The most common comorbidity was hypertension (59.4%). This was followed by diabetes (35.6%), chronic glomerulonephritis (18.8%), and NSAID nephropathy (4.9%). Other comorbidities include lupus nephritis, urate nephropathy, and polycystic kidney disease. The interval between symptoms and intervention ranged from two weeks to ninety-six weeks. Eleven patients (10.9%) had an arterio-venous fistula (AVF) before initiating dialysis and did not have a history of dialysis catheter use. Temporary catheters comprise most of the central vein catheters (CVC) (84.2%), while tunneled catheters were a minority (8.9%). The overall central line insertions of one hundred one patients were one hundred fifty-five, most via the right internal jugular vein (86%). There was a total of one hundred twenty-seven lesions seen during venography. Most of these lesions were in the left Innominate vein (38.6%, 39/101) and the right innominate vein (32.7%, 33/101). The most common type of lesion was stenosis (47.5%), followed by abrupt occlusions (31.7%) and tapered occlusions (20.8%). The overall success rate of PTA was 74.2%. In the second intervention for recurrence (n=19), the success rate was 78.9% (15/19). Third-time intervention in three patients was all successful. The success rate in stenotic, tapered, and abrupt lesions were 100%, 85.7%, and 28.1%, respectively. Symptom-free intervals ranged from twelve to one hundred ninety-two weeks. After a failed intervention, a new fistula or graft was the most common access option (50%). This was followed by central catheter (38.5%), venous bypass (7.7%), and peritoneal dialysis catheter (3.8%). Morbidity was 0.99%. The in-hospital mortality was zero.</p><p><strong>Conclusion: </strong>Overall PTA success rate for non-recurrent and first operation of recurrent patients with CVOD was high (74%). Stenotic type of lesions were the best vessels to dilate. Failure of PTA was directly related t","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"40-48"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.8371
Raezelle Nadine C Ramoso, Mara Isabel C Moreno, Leonila F Dans, Zharie P Benzon, Regine Ynez H De Mesa, Noleen Marie C Fabian, Cara Lois T Galingana, Carol Stephanie C Tan-Lim, Antonio Miguel L Dans
{"title":"Adherence of Primary Care Providers to Practice Guidelines for Common Pediatric Conditions in Urban, Rural, and Remote Sites in the Philippines: A Cross-Sectional Study.","authors":"Raezelle Nadine C Ramoso, Mara Isabel C Moreno, Leonila F Dans, Zharie P Benzon, Regine Ynez H De Mesa, Noleen Marie C Fabian, Cara Lois T Galingana, Carol Stephanie C Tan-Lim, Antonio Miguel L Dans","doi":"10.47895/amp.vi0.8371","DOIUrl":"https://doi.org/10.47895/amp.vi0.8371","url":null,"abstract":"<p><strong>Background: </strong>Evaluation of primary care allows for identification of problems in the healthcare system, such as poor health outcomes, inappropriate health services, overuse of unnecessary resources, or underuse of recommended strategies. Assessment of adherence to existing clinical practice guidelines as quality indicators is critical for evaluating the effectiveness of primary care and shaping healthcare policies.</p><p><strong>Objectives: </strong>To determine the adherence of primary care providers to existing practice guidelines for common pediatric concerns in remote, rural, and urban areas in the Philippines.</p><p><strong>Methods: </strong>This cross-sectional study included data from the electronic medical records (EMR) of patients aged 19 years and below who consulted at the three pilot sites of the Philippine Primary Care Studies (PPCS) from January to December 2019. Relevant demographic data and quality indicator measures (e.g., immunization history, adolescent smoking history, medication and supplement prescription) were extracted from the EMR by the PPCS data management team. Adherence to existing guidelines on pediatric history taking and management of common illnesses (e.g., diarrhea, upper respiratory tract infections, malnutrition) was evaluated.</p><p><strong>Results: </strong>This study included 8,724 pediatric patients seen across the three pilot sites from January to December 2019. Immunization history was taken in only 0.4% of pediatric patients. Smoking history was taken in only 6.8% of adolescent patients. Zinc was prescribed in only 40.1% of patients with diarrhea. No infants were prescribed with vitamin A, while iron was prescribed in only 2.5% of children and 3% of adolescent females. In contrast to the recommendations of existing guidelines, antibiotics were prescribed in 38.5% of patients with AGE and 62.5% of patients with viral URTI. Montelukast was prescribed as first-line asthma treatment in 4.7% of cases. Multivitamins were prescribed in 57.2% of all pediatric patients.</p><p><strong>Conclusions: </strong>Overuse of inappropriate medications and underuse of appropriate interventions were observed in this study. There was low adherence to evaluation of pediatric immunization history, adolescent smoking history, zinc supplementation for diarrhea, and iron and vitamin A supplementation among identified vulnerable population groups. Over prescription of the following were observed: (1) antibiotics for acute gastroenteritis and probable viral URTI, (2) multivitamins for the general pediatric population, and (3) montelukast among newly diagnosed asthma patients.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"20-29"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.6985
Cecile Tuano Cabrera
{"title":"A Review of Orthodontic Considerations before and after Alveolar Bone Grafting in Patients with Cleft Lip and Palate.","authors":"Cecile Tuano Cabrera","doi":"10.47895/amp.vi0.6985","DOIUrl":"https://doi.org/10.47895/amp.vi0.6985","url":null,"abstract":"<p><p>There are many factors to consider regarding the orthodontic treatment of an individual with cleft lip and palate in relation to the alveolar bone graft procedure. Some of these are: the sequence and timing of treatment, indications for pre-graft orthodontics, the appropriate appliances that should be used, and considerations in post-graft orthodontics. A review of some of the current concepts, management, and protocols are described.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"7-19"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.7147
Sugma Agung Purbowo, Muchtaruddin Mansyur, Indah Suci Widyahening, Retno Asti Werdhani, Parlindungan Siregar, Ina Susianti Timan, Muhammad Faza Soelaeman
{"title":"The Effect of a Workplace Wellness Program for Primary School Teachers in Controlling Blood Pressure: A Before and After Study.","authors":"Sugma Agung Purbowo, Muchtaruddin Mansyur, Indah Suci Widyahening, Retno Asti Werdhani, Parlindungan Siregar, Ina Susianti Timan, Muhammad Faza Soelaeman","doi":"10.47895/amp.vi0.7147","DOIUrl":"https://doi.org/10.47895/amp.vi0.7147","url":null,"abstract":"<p><strong>Background and objective: </strong>Hypertension is a major health issue worldwide, with primary schoolteachers possessing several lifestyle risks of the disease. There have not been any health promotion programs yet for primary school-teachers in Indonesia, especially for blood pressure control. A school-based model of workplace wellness program for teachers was developed. It focused on using screening as feedback in controlling blood pressure by eating a healthy diet, doing physical activity, and having regular checks. This study aimed to assess its clinical and behavioral effects.</p><p><strong>Methods: </strong>This trial was a one group pre- and post-test study design without control. It was implemented purposively in three public primary school locations in Jakarta to 44 eligible teachers for approximately three months from January to March 2022. The workplace wellness program included on-site screening (blood pressure, body mass index/BMI, spot urine sodium-creatinine ratio), knowledge, motivation, and ongoing health behavior (physical activity and the dietary approach to stop hypertension/DASH), online education/training, consultation/counseling sessions with a family doctor, and self-monitoring. All screening measurements were repeated at the end of the program. A paired t-test or Wilcoxon analysis was performed using SPSS 20.0.</p><p><strong>Results: </strong>Both systolic and diastolic blood pressure decreased by 5.05 mmHg (p = 0.018) and 6.41 mmHg (p < 0.001), respectively. The spot urine sodium-creatinine ratio and BMI decreased slightly but not significant (p = 0.707; p = 0.761). Knowledge and motivation increased slightly but not significant (p = 0.529; p = 0.175). The DASH behavior significantly increased by 25% (p < 0.001). Though the overall physical activity did not change, the walking activity increased twofold significantly (p = 0.006). This study also showed that the outcome would be achieved when the participant followed the recommendations obediently.</p><p><strong>Conclusion: </strong>This school-based workplace wellness program was found to have a potential effect on controlling blood pressure by changing health behaviors. A randomized controlled trial is recommended to provide stronger evidence on its effectiveness before doing a large-scale implementation in primary schools in Indonesia.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"82-89"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.7975
Maria L Arquillo, Elbert John V Layug, Maria Cristina H Lozada, Kevin L Bautista, Loudella Calotes-Castillo
{"title":"Clinical Profile and Pulmonary Function of Pediatric Patients with Duchenne Muscular Dystrophy at a Tertiary Government Hospital.","authors":"Maria L Arquillo, Elbert John V Layug, Maria Cristina H Lozada, Kevin L Bautista, Loudella Calotes-Castillo","doi":"10.47895/amp.vi0.7975","DOIUrl":"https://doi.org/10.47895/amp.vi0.7975","url":null,"abstract":"<p><strong>Objective: </strong>Our study aimed to determine the clinical profile and pulmonary function of pediatric patients with Duchenne Muscular Dystrophy (DMD). We also characterized the stages of progression of the disease and determined their potential association with spirometry variables.</p><p><strong>Methods: </strong>In this cross-sectional study, we used data obtained from a review of medical records of all pediatric patients (0-18 years old) with DMD seen in a multidisciplinary neuromuscular clinic of a tertiary government hospital from August 2018 until March 2020.</p><p><strong>Results: </strong>Included were 30 patients subdivided into groups according to the stage of disease progression. Overweight (26.7%), obesity (20%), and scoliosis (26.7%) were common among non-ambulatory patients. Only one late ambulatory patient had evidence of ineffective airway clearance. Symptoms of sleep-disordered breathing, particularly snoring (66.7%) and apnea (6.7%), were common across all disease stages. All patients had normal peripheral oxygen saturation on room air. The mean peak expiratory flow rate was 215.6 (±84) L/min. The mean Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), and FEV1/FVC were 66.2% (±23.7), 67.7% (±23.8), and 97.5 (±3.2), respectively. Among patients with polysomnography results, the average apnea-hypopnea index (AHI) per hour was 3 (±1.6). When patients were compared according to their stage disease progression, however, no significant differences exist.</p><p><strong>Conclusion: </strong>This is the first study on the pulmonary function of Filipino pediatric patients with DMD. Spirometry patterns characteristic of restrictive lung disease were observed. Prospective studies may help identify respiratory variables that significantly correlate with pulmonary function.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"49-59"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.8485
Aramis B Torrefranca, Alvina Pauline D Santiago, Alyssa Louise B Pejana
{"title":"Surgical Outcomes for Sensory Exotropia in a Tertiary Hospital in Manila, Philippines.","authors":"Aramis B Torrefranca, Alvina Pauline D Santiago, Alyssa Louise B Pejana","doi":"10.47895/amp.vi0.8485","DOIUrl":"https://doi.org/10.47895/amp.vi0.8485","url":null,"abstract":"<p><strong>Background and objective: </strong>There is no strict by-the-book rule as to which approach is the best strabismus surgery for patients with sensory exotropia. More commonly, a monocular lateral rectus recession and a medial rectus resection (monocular R & R; MRR) is performed in the eye with a poorer prognosis. Rarely, for larger deviations, a third or fourth horizontal muscle in the better eye is added. This study aimed to determine the outcomes of strabismus surgery performed for sensory exotropia in a tertiary hospital in the Philippines.</p><p><strong>Methods: </strong>The medical records of all patients with sensory exotropia who underwent strabismus surgical correction from January 2015 to December 2019 were retrospectively reviewed.</p><p><strong>Results: </strong>A total of 29 medical records satisfied the inclusion criteria. Mean age at diagnosis and at the time of surgery were 7.5 ± 11.6 (range: 1 to 68 years) and 12.4 ± 16.2 years (range: 1 to 68 years) years old, respectively, with a mean follow-up of 6.2 months (range: 3 to 24 months). After a mean follow-up of 6.2 months, the overall success (alignment in primary position is within 10 prism diopters of orthotropia) was relatively low, where 34% were successful, 65.5% developed recurrence, and none had overcorrections. Survival plots of both surgeries revealed a decline in success probability in achieving desired alignment six months after surgery.</p><p><strong>Conclusion: </strong>We reported the surgical outcomes of 29 patients with sensory exotropia. The general trend realized was that the decline in success rates of good alignment was evident beginning six months post-operatively. The retrospective design serves as a limitation and hence, readers should treat results with caution.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.47895/amp.vi0.8401
Jade P Rodriguez, Essel N Tolosa, Charisse Leanne B Legaspi
{"title":"Pharmacologic Activities of <i>Yerba Buena</i> (<i>Mentha x villosa</i> Huds Fam. Lamiaceae): An Overview.","authors":"Jade P Rodriguez, Essel N Tolosa, Charisse Leanne B Legaspi","doi":"10.47895/amp.vi0.8401","DOIUrl":"https://doi.org/10.47895/amp.vi0.8401","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to describe the pharmacologic activities of <i>Yerba buena</i> (<i>Mentha x villosa</i> Huds).</p><p><strong>Methods: </strong>Data were collected if available from online databases from 1950 to 2023 as well as the Philippine National Library, and unpublished clinical trials.</p><p><strong>Results: </strong>The initial search yielded thirty-seven studies from the different databases. After further screening, eighteen studies met the inclusion criteria. <i>In vitro/in vivo</i> studies of <i>yerba buena</i> showed antihypertensive, antibacterial, anthelmintic, antitumor, antiviral, and analgesic activities. Safety studies conducted showed that <i>yerba buena</i> possesses antimutagenic property. Clinical trial of <i>yerba buena</i> showed that oral administration of <i>yerba buena</i> and Paracetamol produced comparable analgesic efficacy.</p><p><strong>Conclusion: </strong>The medical benefits of <i>yerba buena</i> have been well-documented and thoroughly researched. <i>Yerba buena</i> was reported to have analgesic, antibacterial, anthelmintic, anticancer, antiviral, and antihypertensive properties. Among all the different activities, its analgesic activity was the only reported pharmacologic indication to have been clinically tested.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 21","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}